Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.89 / $456.89 / $456.89	Professional		$456.89	$456.89	$456.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $327.20 / $348.81	Professional		$238.86	$327.20	$348.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $454.52 / $495.67 / $782.64	Professional		$454.52	$495.67	$782.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.94 / $418.94 / $509.53	Facility		$418.94	$418.94	$509.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.83 / $509.53 / $1,050.73	Professional		$412.83	$509.53	$1,050.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $418.94	Facility		$134.88	$134.88	$418.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $418.94 / $645.61	Professional		$327.20	$418.94	$645.61
United Facility/Professional Facility Modifier Low / Median / High Price $276.08 / $314.79 / $314.79	Facility		$276.08	$314.79	$314.79
United Facility/Professional Professional Modifier Low / Median / High Price $260.30 / $260.30 / $498.90	Professional		$260.30	$260.30	$498.90